Villamil C F, Massimi G, D'Avella J, Cole S R
Department of Pathology, Hartford Hospital, Hartford, Connecticut, USA.
Arch Pathol Lab Med. 2000 Feb;124(2):281-3. doi: 10.5858/2000-124-0281-AGWPI.
Although involvement of the thyroid gland by amyloid is a relatively common phenomenon, diffuse enlargement of the gland secondary to infiltration by amyloid is infrequent. We report the pathologic findings in a case of primary amyloid goiter with involvement of a parathyroid gland in an euthyroid patient who presented to his physician with an enlarged thyroid, upper airway obstructive symptoms, and dysphagia. The clinical features of amyloid goiter, including difficulties in preoperative diagnosis and management, are discussed.
尽管甲状腺被淀粉样物质累及是一种相对常见的现象，但继发于淀粉样物质浸润的甲状腺弥漫性肿大并不常见。我们报告了一例原发性淀粉样甲状腺肿合并甲状旁腺受累的病理结果，该患者甲状腺功能正常，因甲状腺肿大、上呼吸道梗阻症状和吞咽困难就诊。文中还讨论了淀粉样甲状腺肿的临床特征，包括术前诊断和处理的困难。
